Administrator's decisions

Health Care Financing Review, Fall, 2004

Under Section 1878(f) of the Social Security Act, as amended, a Provider Reimbursement Review Board (PRRB) decision is final unless the Secretary of Health and Human Services, on his own motion, and within 60 days after the provider is notified of the Board's decision, reverses, affirms, or modifies the Board's decision. The review function has been delegated to the Administrator~Deputy Administrator of the Centers for Medicare & Medicaid Services (CMS). The two indexes are lists of the Administrator's decisions rendered on review of PRRB decision, and PRRB decisions the Administrator elected not to review. These indexes are in numeric order by PRRB decision number. They also state the name of the provider, issues involved, and date of the Administrator's decision.

Numeric Index of Administrator's Final Decisions Rendered on Review of PRRB Decisions--July 1, 2004 through September 30, 2004

2004-D23 Glenwood Regional Medical Center--Routine cost limit (08/09/2004)

2004-D25 Tip of Illinois Health Services--Physical therapy guidelines (08/03/2004)

2004-D27 Baptist Memorial Medical Center--Section 4004(b) OBRA 1990; Clinical training costs (09/10/2004

2004-D31 Pocono Medical Home Care, Inc. --Salary equivalency guidelines physical therapists (09/10/2004)

Numeric Index of Administrator's Election Not to Review PRRB Decisions--July 1, 2004 through September 30, 2004

2004-D22 Chestnut Hill Hospital--FTE count; FY 99 reconciling adjustments (07/06/2004)

2004-D24 Visiting Nurse Association of North Central Indiana, Inc.--Salary equivalency guidelines for physical therapy (07/20/2004)

2004-D26 Aroostook Medical Center--ESRD exception request (07/20/2004)

2004-D29 Carney Hospital (Transitional Care Unit)--Exemption from skilled nursing facility cost limits new provider (09/10/2004

2004-D30 Global Home Care, Inc.--Single business tax (08/24/2004)